Browsing by Author "Chowdhury, Moniruddin"

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A REVIEW ON THE IMPLICATIONS OF THE PREVAILING CONCEPTUAL MODEL OF DISABILITY IN BANGLADESH
(Daffodil International University, 2023-01-30) Hossain, Syed Billal; Mazumder, Pranay Kumar; Chowdhury, Moniruddin
There are significant variations in health outcomes between those with disabilities and those who do not. Persons with disabilities (PWDs) constitute a substantial and diversified minority community in Bangladesh. Accidents, inaccurate medical diagnosis, maternal malnutrition, a shortage of skilled birth attendants and nurses, polio, typhoid, crime and violence, acid burn, child marriage, marriage with relatives, and other reasons all contribute to disability in Bangladesh. Rehabilitation professionals must understand a number of disability models in order to work with people who have impairments. To establish a theoretical foundation for this review, the pros and cons of several models of disability are discussed, including the moral model, the medical model, the social model, the bio-psycho-social model, and the International Classification of Functioning, Disability, and Health (ICF) model. Despite the fact that there is a lack of recorded data and information on disability models in Bangladesh, the review article explored the ramifications of the prevailing disability model including the challenges and initiatives taken for PWDs in Bangladesh. The policy trend of progress clearly reveals that the disability model in Bangladesh is still under development. Bangladesh appears to be ramping up its transition from the Medical Model to the Bio-Psycho-Social Model.
Association Between Depressive Symptoms of Mothers and Eating Behaviors of School-Going Children in Urban Bangladesh
(BioMed Central Ltd, 2023-08-18) Sultana, Sharmin; Muhammad, Faisal; Chowdhury, ABM Alauddin; Tasnim, Tasmia; Haque, Md. Imdadul; BakiBillah, Abul Hasan; Hossain, Md. Kamrul; Zaman, Sanjana; Hawlader, Mohammad Delwer Hossain; Chowdhury, Moniruddin
Objective This study aimed to investigate the association between depressive symptoms among mothers and the eating behaviors of their school-going children in Urban Bangladesh. Materials and methods This analytical cross-sectional study was conducted in the context of the urban area of Bangladesh. A multistage sampling technique was applied to select 324 children’s mothers in Dhaka City. Data were collected from both city corporation settings in Dhaka, Bangladesh. Semi-structured questionnaires were used in this study. We estimated the depressive symptoms among mothers using the Zung Self-Rating Depression Scale. We examined the association of mothers of school-going children’s socio-demographic variables and eating behaviors of school-going children with their mother’s depression by using chi-square and evaluating the impact of these variables on mothers’ depression through univariate and multivariate binary logistic regression. Results In our study, 57.7% of the mothers of school-going children had depressive symptoms, and 42.3% had no depressive symptoms. The study explored that consuming fewer vegetables (AOR = 0.237, 95% CI: 0.099–0.569), taking fewer fruits (AOR = 0.177, 95% CI: 0.093–0.337), and interestingly, taking fast food less than 4 days per week (AOR = 3.024, 95% CI: 1.517–6.031) were significantly associated with mothers’ depressive symptoms. Conclusion Mothers with depressive symptoms of school-going children in Dhaka city are alarmingly high as a grave concern. The eating behaviors of children are associated with their mothers’ depressive symptoms. With an aim to build rigorous awareness on depression and child’s healthy eating behaviors, it is imperative to arrange health education and awareness related programs.
Determinants of Hepatitis B Virus (HBV) Infection among University Students in Central Bangladesh
(Scopus, 2021) Islam, Md. Rabiul; Sheba, Nusrat Hosain; Islam, Md. Torikul; Rahman, Md. Mostafizur; Hossain, Sharmin; Hussain, Md. Anower; Islam, Shariful; Chowdhruy, ABM Alauddin; Sikder, Tajuddin; Chowdhury, Moniruddin; Reuben, Rine Christopher; Muhammad, Faisal
This study aimed to determine the seroprevalence and determinants of hepatitis B virus (HBV) infection among university students in Bangladesh. This cross-sectional study was conducted among 614 students from five universities in central Bangladesh. Data were collected on demographic information, immunization history, medical and blood transfusion history through the face-to-face interview. Blood samples were collected and screened for anti-HBsAg using ELISA, HBsAg Rapid Test-cassette, and immune chromatographic test. The overall seroprevalence of HBV infection was 5.0%, and vaccination coverage was 19.2% among the participants. Students having a history of surgery (OR 11.004, 95% CI 3.211–37.707), blood transfusion (OR 5.651, 95% CI 0.965–33.068), being married (OR 4.776, 95% CI 1.508–15.127), and not being vaccinated (OR 9.825, 95% CI 1.130–85.367) were at higher risk of being infected by HBV. This study showed the endemicity of HBV infection among the Bangladeshi population. Marriage, surgical or blood transfusion history, not being vaccinated were the determinants of HBV infection within the study population. Public health initiatives for preventing HBV infection at the university levels should be envisaged.
Determinants of Hepatitis B Virus (HBV) Infection Among University Students in Central Bangladesh
(Daffodil International University, 2021-09-07) Islam, Md. Rabiul; Sheba, Nusrat Hosain; Islam, Md. Torikul; Rahman, Md. Mostafizur; Hossain, Sharmin; Hussain, Md. Anower; Islam, Shariful; Chowdhruy, ABM Alauddin; Sikder, Tajuddin; Chowdhury, Moniruddin; Reuben, Rine Christopher; Muhammad, Faisal
This study aimed to determine the seroprevalence and determinants of hepatitis B virus (HBV) infection among university students in Bangladesh. This cross-sectional study was conducted among 614 students from five universities in central Bangladesh. Data were collected on demographic information, immunization history, medical and blood transfusion history through the face-to-face interview. Blood samples were collected and screened for anti-HBsAg using ELISA, HBsAg Rapid Test-cassette, and immune chromatographic test. The overall seroprevalence of HBV infection was 5.0%, and vaccination coverage was 19.2% among the participants. Students having a history of surgery (OR 11.004, 95% CI 3.211–37.707), blood transfusion (OR 5.651, 95% CI 0.965–33.068), being married (OR 4.776, 95% CI 1.508–15.127), and not being vaccinated (OR 9.825, 95% CI 1.130–85.367) were at higher risk of being infected by HBV. This study showed the endemicity of HBV infection among the Bangladeshi population. Marriage, surgical or blood transfusion history, not being vaccinated were the determinants of HBV infection within the study population. Public health initiatives for preventing HBV infection at the university levels should be envisaged.
Effectiveness of High-Intensity Interval Training and Continuous Moderate-Intensity Training on Blood Pressure in Physically Inactive Pre-Hypertensive Young Adults
(Daffodil International University, 2022-08-03) John, Anil T; Chowdhury, Moniruddin; Islam, Md Rabiul; Mir, Imtiyaz Ali; Hasan, Md Zobaer; Chong, Chao Yi; Humayra, Syeda; Higashi, Yukihito
The likelihood of pre-hypertensive young adults developing hypertension has been steadily increasing in recent years. Despite the fact that aerobic exercise training (AET) has demonstrated positive results in lowering high blood pressure, the efficacy of different types of AET among pre-hypertensive young adults has not been well-established. The objective of this study was to evaluate the effectiveness of high-intensity interval training (HIIT) and continuous moderate-intensity training (CMT) on the blood pressure (BP) of physically inactive pre-hypertensive young adults. In total, 32 adults (age 20.0 ± 1.1 years and BMI 21.5 ± 1.8) were randomly assigned to three groups: HIIT, CMT and control (CON). The HIIT and CMT groups participated in 5 weeks of AET, while the CON group followed a DASH diet plan only. The HIIT protocol consisted of a 1:4 min work to rest ratio of participants, at an 80-85% heart rate reserve (HR-reserve) and a 40-60% HR-reserve, respectively, for 20 min; the CMT group exercised at 40-60% of their HR-reserve continuously for 20 min. In both the HIIT and CMT groups, systolic blood pressure (SBP) (3.8 ± 2.8 mmHg, p = 0.002 vs. 1.6 ± 1.5 mmHg, p = 0.011) was significantly reduced, while significant reductions in the diastolic blood pressure (DBP) (2.9 ± 2.2 mmHg, p = 0.002) and mean arterial pressure (MAP) (3.1 ± 1.6 mmHg, p < 0.0005) were noted only in the HIIT group. No significant differences in SBP (-0.4 ± 3.7 mmHg, p = 0.718), DBP (0.4 ± 3.4 mmHg, p = 0.714), or MAP (0.1 ± 2.5 mmHg, p = 0.892) were observed in the CON group. Both HIIT and CMT decreased BP in physically inactive pre-hypertensive young adults; however, HIIT yielded more beneficial results in terms of reducing the SPB, DBP and MAP.
Knowledge on HIV/Aids Among Nursing Students in Bangladesh
(DIU Press, 2022-01-04) Chowdhury, ABM Alauddin; Khatun, Shewly; Haque, Md. Imdadul; Muhammad, Faisal; BakiBillah, Abul Hasan; Khoo, Ching Soong; Tee, Tze Yuan; Chowdhury, Moniruddin
Study shows that understanding regarding HIV/AIDS among the Bangladeshi nursing students is not up to the mark. This investigation planned to evaluate the knowledge of student nurses with regards to AIDS in Bangladesh. The study was a cross-sectional descriptive study conducted among the students of 1st year, 2nd year and 3rd year in Nursing Institute, Mitford Dhaka, Bangladesh in 2014. Hundred and fifty nursing students were selected following systematic sampling technique and data were collected with a self-administered semi-structured questionnaire under specific guidance, who met the inclusion criteria. Knowledge of the nursing students regarding the HIV/AIDS was not satisfactory. More than two-fifth of the participants didn’t know that the proper use of a male condom could prevent transmission of the HIV/AIDS virus through sexual contacts. Only 4.7% of the respondents reported that they receive knowledge on HIV infection from school. This study found strong association between level of knowledge on HIV and attendance of nursing students to training program on HIV infection. Although the level of awareness is expected to be high, misunderstandings about the means of disease spread were common among the nursing students.
Knowledge, Attitudes, and Practices of Female Health Care Service Providers on Female Genital Mutilation in Somalia
(SAGE Publications, 2023-08-15) Mehriban, Nadira; Ullah, Abu Naser Zafar; Haque, Md Imdadul; Harun, Md Golam Dostogir; Isse, Deka Mohamed; Muhammad, Faisal; Chowdhury, ABM Alauddin; Chowdhury, Moniruddin; Hasan, Md Zobaer; Dessoffy, Thomas
"Background: Despite a strong international standpoint against female genital mutilation, the prevalence of female genital mutilation in Somalia is extremely high. Objectives: This study assessed the knowledge, attitude, and practice of female genital mutilation among female health care service providers in order to formulate appropriate policies and programs to eliminate this harmful practice. Design: Facility-based cross-sectional survey conducted in 2019 among female doctors and nurses working in Banadir Hospital, Mogadishu, Somalia. Methods: A total of 144 female health care service providers were randomly selected, and data were collected through a pre-tested, semi-structured questionnaire. Quantitative data were analyzed by using the statistical software SPSS (Version 21), and qualitative data were analyzed thematically in accordance with the objectives of the study. Results: The study found that about three-fifths of the respondents had undergone some forms of female genital mutilation during their life. An overwhelming majority believed that female genital mutilation practices were medically harmful, and a majority of them expressed their opinion against the medicalization of the practice of female genital mutilation. The study also observed a significant association between participants' age and their negative attitudes regarding the legalization of female genital mutilation. Conclusion: Health care service providers' effort is critical to eliminating this harmful practice from the Somalian society. Strong policy commitment and a comprehensive health-promotion effort targeting the parents and community leaders are essential to avert the negative impact of female genital mutilation.
Price of Imaging Tests and Access of Patients to Modern Health Care Facilities across the Developing and Better-Off Countries: A Comparative Study
(Daffodil International University, 2016) Chowdhury, ABM Alauddin; Hassan, Muhammad Shaikh; Chowdhury, ARMM; Farahnaj, Sara; Haque, Md. Imdadul; Chowdhury, Moniruddin
Abstract: Modern health care facilities like radiography, Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) are important for early diagnosis and evaluation of musculoskeletal and central nervous system diseases. But due to high prices of modern diagnostic tests in the developing country the peoples of low-income group cannot access to the modern health care facilities. For illustration, a patient of a developing country (Bangladesh) has to pay for MRI and CT tests 100.43 and 60.70 dollars respectively whose per capita income is 958 dollars. A patient of better-off country (Japan) has to pay 39.62 and 15.17 dollars for MRI and CT of same tests whose per capita income is 38,634 dollars. Through this study the authors recommend effective health policy, research and telemedicine should bring in the mainstream of government health policy in the developing country, for the dissemination of specialist’s advice in the rural area, in order to a greater access of the low-income peoples to health care facilities.
Relaxing Music Reduces Blood Pressure and Heart Rate among Pre-hypertensive Young Adults
(Journal of Clinical Hypertension, 2021-12) Mir, Imtiyaz Ali; Chowdhury, Moniruddin; Islam, Rabiul Md; Ling, Goh Yee; Chowdhury, Alauddin A B M; Hasan, Zobaer Md; Higashi, Yukihito
Prevalence of pre-hypertension is higher among young adults and may increase the risk for hypertension and cardiovascular morbidity. Music therapy has been investigated to reduce the blood pressure in the hypertensive population; however, its efficacy on blood pressure in pre-hypertensive young adults is not known. Thirty pre-hypertensive (systolic blood pressure [SBP] = 120-139 mmHg and diastolic blood pressure [DBP] = 80-89 mmHg) young adults were recruited and randomly assigned into two groups. Music group (N = 15) received music therapy by passive listening to music for 30 minutes/day, 5 days/week for 4 weeks, along with Dietary Approaches to Stop Hypertension (DASH) eating plan (a diet rich in fruits and vegetables, low-fat dairy or unsaturated fat) and limit the daily sodium intake less than 100 mmol/day. The control group (N = 15) practiced only DASH eating plan and sodium restriction. The SBP, DBP, and heart rate (HR) were measured before and after 4 weeks of intervention. There was a significant reduction in SBP (8.73 mmHg, p < .001) and HR (6.42 beats/minute, p = .002); however, the reduction in DBP (1.44 mmHg, p = .101) was not statistically significant in the music group. Control group did not exhibit any significant reduction in SBP (0.21 mmHg, p < .836), DBP (0.81 mmHg, p < .395) and HR (0.09 beats/minute, p < .935). In conclusion, music therapy reduced significantly SBP and HR suggesting that it could be a promising tool to prevent the progression of pre-hypertension toward hypertension among young adults.
Thalassemia in Bangladesh
(Daffodil International University, 2019-07-17) Chowdhury, Moniruddin; Sheba, Nusrat Hossain; Hossain, Sharmin; Khanom, Khurshida; Hussain, Md. Anower; Islam, Md. Rabiul
Thalassemia is a common form of hemoglobin disorder that has been emerged as a global public health concern. It is more common in developing countries than the developed countries. There is a lack of adequate data on the population-based estimation of thalassemia in the country. A scoping study was performed according to York methodology. The study aimed to find out the current situation and prevention strategies of thalassemia in Bangladesh. World Health Organization (WHO) estimates beta-thalassemia carrier and hemoglobin E (HbE) carrier as 3% and 4% respectively in Bangladesh. A study among school children shows that the prevalence of beta-thalassemia trait and HbE trait in Bangladesh are 4.1% and 6.1% respectively. Although WHO has advocated and promoted thalassemia prevention programs from the early 1970s and several countries have already set up comprehensive national thalassemia prevention programs, there is no such program in Bangladesh still now. Considering the ethical issues, government policy, local structures, social values, religion, and cultural tradition of our country some comprehensive thalassemia prevention strategies can be suggested. Health education, awareness, premarital screening and thalassemia carrier identification, vulnerable couple counseling, fetal DNA analysis and family screening programs can be taken by the government of Bangladesh. These preventative strategies could be effective for other developing countries as well.
Use of Neutralizing Monoclonal Antibodies and Its Outcome Measures in COVID-19 Patients
(Daffodil International University, 2023-07-23) Chowdhury, Moniruddin; Humayra, Syeda
"Neutralizing monoclonal antibodies (mAbs) can stimulate protective immunity. Hence their rapid identification and characterization are incorporated into clinical practice to provide effective treatment and prophylaxis during the COVID-19 pandemic. Previously, mAbs have been effectively used in several other viral infections, including Ebola, influenza, HIV, RSV, Zika virus, and MERS-CoV. Currently, the utilization of mAbs appears to have favorable clinical outcomes in patients with mildmoderate SARS-CoV-2 infection, particularly individuals at high risk of hospitalization and progression to severe COVID-19. However, most of the interim results on antiSARS-CoV-2 mAbs are based on ongoing clinical trial data; thereby, several questions revolve around this novel therapy, including its long-term implication, application, and feasibility. Although, the use of neutralizing mAbs may assist in alleviating the critical burden on healthcare settings and minimizing hospital stay due to severe progression of the COVID-19 symptoms especially among those with poor immune responses to vaccination, elderly, and/or vaccine-refractory individuals. Nonetheless, there is a broader need to explore these - novel therapies for their effective use in clinical practice and to improve patient-related outcomes.